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Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207877/ https://www.ncbi.nlm.nih.gov/pubmed/30416830 http://dx.doi.org/10.1155/2018/5038272 |
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author | Busse, Jennifer Gottlieb, David Ferreras, Krystal Bain, Jennifer Schechter, William |
author_facet | Busse, Jennifer Gottlieb, David Ferreras, Krystal Bain, Jennifer Schechter, William |
author_sort | Busse, Jennifer |
collection | PubMed |
description | Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor. |
format | Online Article Text |
id | pubmed-6207877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-62078772018-11-11 Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis Busse, Jennifer Gottlieb, David Ferreras, Krystal Bain, Jennifer Schechter, William Case Rep Anesthesiol Case Report Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor. Hindawi 2018-10-17 /pmc/articles/PMC6207877/ /pubmed/30416830 http://dx.doi.org/10.1155/2018/5038272 Text en Copyright © 2018 Jennifer Busse et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Busse, Jennifer Gottlieb, David Ferreras, Krystal Bain, Jennifer Schechter, William Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title | Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title_full | Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title_fullStr | Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title_full_unstemmed | Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title_short | Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis |
title_sort | pharmacological management of severe neuropathic pain in a case of eosinophilic meningitis related to angiostrongylus cantonensis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207877/ https://www.ncbi.nlm.nih.gov/pubmed/30416830 http://dx.doi.org/10.1155/2018/5038272 |
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